Stanislaus Optometric Center, Inc. Valid NPI

Organization · Optometrist · Modesto, CA

NPI

1114131141

Type

Organization (Type 2)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

OPT8000T (CA)

Enumerated

2007-05-09

Last updated

2020-08-22